<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1029-3019</journal-id>
<journal-title><![CDATA[MEDISAN]]></journal-title>
<abbrev-journal-title><![CDATA[MEDISAN]]></abbrev-journal-title>
<issn>1029-3019</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1029-30192019000300509</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Melanoma vulvar en una paciente de la tercera edad]]></article-title>
<article-title xml:lang="en"><![CDATA[Vulvar melanoma in a third age patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva Merino]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Astorga Navarro]]></surname>
<given-names><![CDATA[Milagros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Ginesta]]></surname>
<given-names><![CDATA[Dra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Oncológico Docente Provincial Conrado Benitez García ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Ginecoobstétrico Docente Tamara Bunke Bider ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>3</numero>
<fpage>509</fpage>
<lpage>516</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1029-30192019000300509&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1029-30192019000300509&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1029-30192019000300509&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se describe el caso clínico de una paciente de 62 años de edad, negra, atendida en el Hospital Oncológico Docente Provincial Conrado Benítez García de Santiago de Cuba, por presentar aumento de volumen en el labio menor que comenzó a doler. Se realizó biopsia excisional, cuyo resultado reveló un melanoma vulvar. Se remitió a la consulta de Ginecología oncológica donde se le indicó tratamiento con quimioterapia e inmunoterapia por ser un tumor no operable. Se le administraron 4 ciclos de quimioterapia con buena respuesta y estabilidad. Se continuó su atención en consulta de seguimiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The case report of a black-skinned 62 years female patient assisted in Conrado Benítez García Teaching Provincial Oncological Hospital in Santiago de Cuba is described due to an increase of volume in the outer lip that began to hurt. A excisional biopsy was carried out which result revealed a vulvar melanoma. She was referred to the Oncological gynecology service where she was indicated treatment with chemotherapy and immunotherapy for being a non-surgical tumor. Four chemotherapy cycles were administered with good response and stability. Her care continued through follow-up.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tumor]]></kwd>
<kwd lng="es"><![CDATA[melanoma vulvar]]></kwd>
<kwd lng="es"><![CDATA[quimioterapia]]></kwd>
<kwd lng="es"><![CDATA[inmunoterapia]]></kwd>
<kwd lng="es"><![CDATA[Atención Secundaria de Salud]]></kwd>
<kwd lng="en"><![CDATA[tumor]]></kwd>
<kwd lng="en"><![CDATA[vulvar melanoma]]></kwd>
<kwd lng="en"><![CDATA[chemotherapy]]></kwd>
<kwd lng="en"><![CDATA[immunotherapy]]></kwd>
<kwd lng="en"><![CDATA[Secondary Health Care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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